A randomized comparison of tension-free vaginal tape and endopelvic fascia plication in women with genital prolapse and occult stress urinary incontinence
Articolo
Data di Pubblicazione:
2004
Citazione:
A randomized comparison of tension-free vaginal tape and endopelvic fascia plication in women with genital prolapse and occult stress urinary incontinence / M. Meschia, P. Pifarotti, M. Spennacchio, A. Buonaguidi, U. Gattei, E. Somigliana. - In: AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY. - ISSN 0002-9378. - 190:3(2004), pp. 609-613. [10.1016/j.ajog.2003.09.027]
Abstract:
Objective: The purpose of this study was to compare 2 anti-incontinence procedures in women who had severe genital prolapse and potential stress incontinence. Study design: In addition to vaginal reconstructive surgery, 50 patients with stage II or higher anterior defect and a positive stress test result with prolapse reduction received either tension-free vaginal tape or plication of the endopelvic fascia. Preoperative evaluation included history, physical examination, stress test, and urodynamic assessment. Data were analyzed with the Student t test, the Fisher's exact test, and the Wilcoxon signed-rank test. Results: The median follow-up time was similar for both groups, 26 and 24 months. Subjective (96% vs 64%; P = .01) and objective (92% vs 56%; P < .01) continence rates were higher after the tension-free vaginal tape procedure. Time for the resumption of spontaneous voiding, rates of urinary retention, or de novo urge incontinence were similar in the 2 groups. Conclusion: Tension-free vaginal tape can be recommended for patients with prolapse and occult stress incontinence.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
prolapse; stress incontinence; tension-free vaginal tape; fascia plication
Elenco autori:
M. Meschia, P. Pifarotti, M. Spennacchio, A. Buonaguidi, U. Gattei, E. Somigliana
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